How to reimburse the new crown treatment medical insurance? Guangdong clear!

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How do I apply for reimbursement? What is the reimbursement process?

About emergency outpatient medical expenses

For emergency outpatient medical treatment, after the implementation of “Class B, Management B”, the insured patients can directly settle the emergency outpatient medical expenses incurred at the medical institutions designated for medical insurance at the second level or below through the “New Crown Outpatient” medical category, and enjoy the “New Crown Outpatient” special protection. Outpatient” special protection.

Patients who seek medical treatment at medical institutions designated for secondary and lower level of medical insurance in other places in the province without filing for medical treatment in other places can enjoy the treatment no less than that in the place where they seek medical treatment; patients who seek medical treatment at medical institutions designated for secondary and lower level of medical insurance in other provinces can be reimbursed by means of sporadic reimbursement.

The outpatient and emergency medical expenses for the treatment of new coronavirus infection incurred by the insured patients in the designated medical institutions of the third level medical insurance will be implemented in accordance with the medical insurance policy for other infectious diseases of category B. The local cities without medical insurance policy for infectious diseases of category B will be protected in accordance with the general outpatient coordination policy.
About hospitalization medical expenses

In case of inpatient treatment, patients with new coronavirus infection incurred in all admitting medical institutions, inpatient medical expenses in line with the treatment plan for new coronavirus infection formulated by the health department are included in the full coverage, i.e., stay and hospitalization continue the special medical insurance policy. After the implementation of the new crown “B class B management”, the first diagnosis of new coronavirus infection patients admitted to the hospital for observation, hospitalization medical expenses, including the treatment of the corresponding underlying diseases, comorbidities, complications, etc., into the special medical insurance policy, to give full coverage.

Patients with new coronavirus infection whose first diagnosis is other diseases and whose inpatient medical expenses are in accordance with the treatment plan for new coronavirus infection formulated by the health department are included in the special medical insurance policy and are fully covered, while other disease treatment expenses are paid according to the general inpatient policy of each coordinating region.

If a patient with new coronavirus infection seeks medical treatment locally, the cost will be borne by the medical insurance fund and the finance according to the regulations; if the patient seeks medical treatment abroad, the cost to be paid by medical insurance will be advanced by the medical insurance department of the place of medical treatment, and the part borne by the individual will be borne by the finance of the place of medical treatment according to the regulations.

Can foreign patients with a new crown be reimbursed for medical treatment in Guangzhou?

About emergency outpatient medical expenses

After the implementation of the “Class B B Management”, the reimbursement of outpatient and emergency medical expenses incurred by insured patients for medical treatment in other places in the province and across provinces will be implemented according to the following provisions.

Patients from our province who seek medical treatment in medical institutions designated for medical insurance at level 2 or below in Guangzhou can enjoy the treatment no less than that in the place where they seek medical treatment without filing for off-site medical treatment; patients from other provinces who seek medical treatment in medical institutions designated for medical insurance at level 2 or below in Guangzhou can be reimbursed by applying for piecemeal reimbursement from the place where they are insured.

The outpatient and emergency medical expenses for the treatment of new coronavirus infection incurred by the insured patients in the designated medical institutions of the third level medical insurance shall be implemented in accordance with the medical insurance policy for other class B infectious diseases, and the local cities without the medical insurance policy for class B infectious diseases shall be settled in accordance with the general outpatient medical policy for off-site medical treatment.

About inpatient medical expenses

Inpatient medical expenses incurred by patients with new coronavirus infection when seeking medical treatment from other places in the province and from other places across the province should be paid by the medical insurance department of the place of medical treatment, and the medical insurance department of the place of participation will settle the medical insurance expenses according to the average payment ratio of the medical insurance department of the place of medical treatment for patients with new coronavirus infection (including basic medical insurance, major medical insurance and medical assistance, etc.). The individual part will be borne by the financial institution of the place of medical treatment according to the regulations.

What is the policy for reimbursement before January 8, and can I still enjoy this reimbursement if I was discharged on January 4?

Before January 8, the inpatient medical expenses of patients with confirmed suspected and confirmed novel coronavirus infection, including the treatment of corresponding underlying diseases, comorbidities and complications, are included in the special medical insurance policy.

Can I be reimbursed for viral pneumonia in my medical record?

The inpatient medical expenses of pneumonia patients with suspected or confirmed novel coronavirus infection before the implementation of “Category B” are included in the special medical insurance policy. After the implementation of “Category B”, the inpatient medical expenses of patients who are first diagnosed with novel coronavirus infection are included in the special medical insurance policy, while other disease treatment expenses are paid according to the general inpatient policy of each coordinating region.